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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370735
Report Date: 06/28/2024
Date Signed: 06/28/2024 11:42:44 AM

Document Has Been Signed on 06/28/2024 11:42 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:FUN 4 KIDS PRESCHOOLFACILITY NUMBER:
304370735
ADMINISTRATOR/
DIRECTOR:
FLORES, ALICIAFACILITY TYPE:
830
ADDRESS:23721 LA PALMA AVENUETELEPHONE:
(714) 694-0901
CITY:YORBA LINDASTATE: CAZIP CODE:
92887
CAPACITY: 36TOTAL ENROLLED CHILDREN: 36CENSUS: 0DATE:
06/28/2024
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Licensee Samantha De SilvaTIME VISIT/
INSPECTION COMPLETED:
09:35 AM
NARRATIVE
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An informal office meeting was conducted on 06/28/2024 at 9:00 AM. Licensing Program Analyst (LPA), Anna Chan and Licensing Program Manager (LPM) Martha Malane met with Licensee, Samantha De Silva, Nakita Chandrasena from Support Office along with Director Alicia Flores, for an office meeting at the Orange Regional Office.

The purpose of the informal meeting was to discuss recent violation at the facility regarding Personal Rights.

The licensee was cited for personal rights violation. Director and licensee stated, the facility conducted an on-the-spot staff training on personal rights. Director stated staff lets the admin know if there are facility concerns. The director stated she observes in the classrooms throughout the day.

Licensee and director stated their plan to maintain compliance is by keeping an open communication with staff for the well-being of the children. Onboarding training on Personal Rights for all new staff.

LPA Chan provided the licensee with Technical Support Program (TSP) Brochure and a list of the Departments E-Learning videos may be found at the cdss.ca.gov website. Licensee and director stated staff will view the video #14 and accepts TSP. LPA Chan will submit a referral for TSP.

Exit interview conducted with Licensee and Director and is in agreement with the above. Appeal Rights were discussed, the facility representative was provided a copy of their appeal rights (LIC 9058). All appeals must be in writing and received by the Regional Office within 15 business days.

End of Report.
SUPERVISORS NAME: Martha Malane
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE: DATE: 06/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/28/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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